Individual
KELCEY AKRIDGE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1233 COVIE DR, DALTON, GA 30720-2524
(706) 936-1661
Mailing address
1233 COVIE DR, DALTON, GA 30720-2524
(706) 936-1661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN250041
GA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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